Provider Demographics
NPI:1699808238
Name:JAMES K OHARA DDS INC
Entity Type:Organization
Organization Name:JAMES K OHARA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:OHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-621-5341
Mailing Address - Street 1:562 CALIFORNIA AVE
Mailing Address - Street 2:RM 3
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786
Mailing Address - Country:US
Mailing Address - Phone:808-621-5341
Mailing Address - Fax:
Practice Address - Street 1:562 CALIFORNIA AVE
Practice Address - Street 2:RM 3
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786
Practice Address - Country:US
Practice Address - Phone:808-621-5341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06607601Medicaid